Individual
MR. JAMES EUGENE FITZPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
149 COACH LN, LEVITTOWN, NY 11756-2744
(516) 287-6638
Mailing address
149 COACH LN, LEVITTOWN, NY 11756-2744
(516) 287-6638
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-283754
NY
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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